Application For Registration Of An Entity As An Athlete Agent Form. This is a Texas form and can be use in Athlete Agent Secretary Of State.

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Tags: Application For Registration Of An Entity As An Athlete Agent, 2501-E, Texas Secretary Of State, Athlete Agent

Form 2501-E—General Information
(Application for Registration of an Entity as an Athlete Agent)
The attached form is designed to meet minimal statutory filing requirements pursuant to the relevant code
provisions. This form and the information provided are not substitutes for the advice and services of an
attorney.
Commentary
Acting as an athlete agent in Texas requires registration with the secretary of state, as provided in
Chapter 2051 of the Texas Occupations Code and the secretary of state’s administrative rules found in 1
Texas Administrative Code Chapter 78. A registration is valid for one year and may be renewed.
Unlike most states, which only allow individuals to register as athlete agents, Texas has two types of
athlete agent registrations. An applicant for registration as an athlete agent in Texas may register as
either an individual or an entity, as appropriate. The individual registration is intended for individuals or
for businesses that are not formally organized as a separate legal “person,” such as a sole proprietorship
or individual who does business under a d/b/a.
This form is designed for the other type of athlete agent registration—registration as an entity. Use this
form if you want to obtain athlete agent registration in the name of a corporation, LLC, partnership, or
other legal entity. A business that is not formally organized as a separate legal “person,” such as a sole
proprietorship or individual who does business under a d/b/a, may not obtain an entity registration.
Instructions for Form
A document on file with the secretary of state is a public record subject to public access and
disclosure. When providing address or telephone information, use a business or post office
box address rather than a residence address if privacy concerns are an issue.
Submission of this application is consent for the secretary of state to conduct a criminal
background check on the applicant.
Attachments: The following items must be included with the application:
1. Surety bond for $100,000 or financial services affidavit (Form 2502-E or 2503);
2. Statement of individual agents (Form 2504);
3. Separate supplement for each owner or managerial official (Form 2506-E); and
4. Applicant contact page (Form 2507-E).
Execution: The application must be signed by a person authorized to sign on behalf of the
entity.
Payment and Delivery Instructions: The filing fee for an entity athlete agent registration is
$1000, plus an additional filing fee of $100 per person for any person named in the Statement of
Individual Agents (Form 2504) who recruits or solicits an athlete on behalf of the applicant. Fees
may be paid by personal checks, money orders, LegalEase debit cards or American Express,
Discover, MasterCard, and Visa credit cards. Checks or money orders must be payable through
a U.S. bank or financial institution and made payable to the secretary of state. Fees paid by
credit card are subject to a statutorily authorized convenience fee of 2.7 percent of the total fees.
The completed forms and filing fee may be mailed to P.O. Box 13550, Austin, Texas 787113550; or delivered to the James Earl Rudder Office Building, 1019 Brazos, Austin, Texas 78701.
The secretary of state will issue a certificate of registration upon filing of a completed and
approved application.
Rev. 05/2011
Form 2501-E
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Form #2501-E
Rev. 05/2011
This space reserved for office use
Submit to:
SECRETARY OF STATE
Statutory Documents Section
P O Box 13550
Austin, TX 78711-3550
512-463-5705
512-475-2815 - Fax
Filing Fee: see instructions
APPLICATION FOR
REGISTRATION OF AN ENTITY
AS AN ATHLETE AGENT
Applicant Information
1. Name of corporation, LLC,
partnership, or other legal entity:
2. Principal
Business Address: Street
City
State
Zip
Background & Experience
3. Business of the entity for the last five years:
4. Name, sport, and last known team for each person the entity represented as an athlete agent during the
last five years:
Name
Sport
Team
Name
Sport
Team
Name
Sport
Team
Name
Sport
Team
Name
Sport
Team
USE AN ADDITIONAL SHEET IF NECESSARY
Fitness
5. Has the entity been found guilty of a crime (other than a class C misdemeanor)?
Yes
No
6. Has there been an administrative or judicial finding that the entity made a false,
misleading, deceptive, or fraudulent representation?
Yes
No
7. Has the entity been sanctioned (including imposition of a fine) or suspended in
relation to occupational or professional conduct?
Yes
No
8. Has the entity been denied a certificate of registration or license as an athlete agent?
Yes
No
9. Has the entity had a certificate of registration or license as an athlete agent
suspended?
Yes
No
10. Has the entity had a certificate of registration or license as an athlete agent revoked?
Yes
No
Form 2501-E
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11. Has the entity engaged in conduct that resulted in the imposition on an athlete or
educational institution of a sanction, suspension, or declaration of ineligibility to
participate in an interscholastic or intercollegiate athletic event?
Yes
No
12. If you answered “yes” to any of the above, in the space below you must provide a statement of (i)
the nature, circumstances, date, and location, and (ii) whether the matter is on appeal. Also attach
copies of court order and sentence, and papers pertaining to release from probation, if applicable.
USE AN ADDITIONAL SHEET IF NECESSARY.
References
Provide the name and address of three professional references.
Name:
Phone:
Address:
Street
City
Name:
State
Zip
State
Zip
State
Zip
Phone:
Address:
Street
City
Name:
Phone:
Address:
Street
City
Financially Interested Parties
Identify each person with an ownership interest in or right to receive profits from the entity. You must complete a
“Supplement for Owner or Managerial Official” for each person identified below.
Name:
Address:
Street
City
State
Zip
Street
City
State
Zip
Street
City
State
Zip
Street
City
State
Zip
Name:
Address:
Name:
Address:
Name:
Address:
USE AN ADDITIONAL SHEET IF NECESSARY
Form 2501-E
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Managerial Officials
Identify each person who is a managerial official of the entity. You must complete a “Supplement for Owner or Managerial
Official” for each person identified below.
Name:
Address:
Street
City
State
Zip
Street
City
State
Zip
Street
City
State
Zip
Street
City
State
Zip
Name:
Address:
Name:
Address:
Name:
Address:
USE AN ADDITIONAL SHEET IF NECESSARY
Attachments
The following items must be included with the application:
Financial services affidavit (Form 2502-E) or surety bond (Form 2503);
Statement of individual agents (Form 2504);
Separate supplement for each owner or managerial official (Form 2506-E); and
Contact sheet (Form 2507-E).
Execution
Date:
Signature of authorized representative for Entity
Printed or typed name and title
Form 2501-E
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Form 2502-E—General Information
(Financial Services Affidavit for an Athlete Agent Registering as an Entity)
The attached form is designed to meet minimal statutory filing requirements pursuant to the relevant code
provisions. This form and the information provided are not substitutes for the advice and services of an
attorney.
Commentary
Athlete agents are governed by Chapter 2051 of the Texas Occupations Code and the secretary of state’s
administrative rules found in 1 Texas Administrative Code Chapter 78. Acting as an athlete agent in
Texas requires registration with the secretary of state. Sections 2051.102–2051.104, Occupations Code
and 78.1, Administrative Code, set forth the application requirements for athlete agent registration.
Pursuant to sections 2051.151, Occupations Code and 78.31, Administrative Code, an application for
registration (Form 2501-E) must be accompanied by either a $100,000 surety bond or an affidavit
stating that the applicant has not entered into a financial services contract or provided financial services
for an athlete. This form may be used for the financial services affidavit for an applicant that is not an
individual or sole proprietorship, that is, an entity applicant.
Submit either Form 2502-E (this form) or Form 2503 (bond form), but not both.
Revised 03/11
Form 2502-E
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Form #2502-E
Rev. 03/2011
This space reserved for office use
Submit with Application (Form 2501-E)
to:
SECRETARY OF STATE
Statutory Documents Section
P O Box 13550
Austin, TX 78711-3550
512-463-5705
FINANCIAL SERVICES
512-475-2815 - Fax
AFFIDAVIT FOR AN ATHLETE
Filing Fee: None.
AGENT REGISTERING AS AN
ENTITY
Identifying Information
Name of Athlete
Agent/Applicant:
Name of Affiant:
Title:
Statement
I, the individual affiant named above, being of sound mind, capable of making this affidavit, personally
acquainted with the facts herein, and having been first duly sworn certify that:
I am duly authorized to execute this Affidavit on behalf of the above-named athlete agent or applicant.
The above-named athlete agent or applicant has not entered into a financial services contract with an
athlete.
The above-named athlete agent or applicant has not provided financial services to an athlete, including
making and executing investment and other financial decisions for the athlete.
The above-named athlete agent or applicant will not enter into a financial services contract or provide
financial services to an athlete without first posting a $100,000 surety bond with the Texas secretary of
state.
As used in this Statement, “financial services contract” and “athlete” have the meanings assigned by
sections 2051.001(4) and 2051.001(2), Texas Occupations Code, respectively.
Execution
Date:
Signature of Affiant
Printed or typed name
State of
)
County of
)
Sworn to and subscribed before me this
day of
, 20
.
(seal)
Notary Public Signature
Form 2502-E
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Form 2503—General Information
(Athlete Agent Surety Bond)
The attached form is designed to meet minimal statutory filing requirements pursuant to the relevant code
provisions. This form and the information provided are not substitutes for the advice and services of an
attorney.
Commentary
Athlete agents are governed by Chapter 2051 of the Texas Occupations Code and the secretary of state’s
administrative rules found in 1 Texas Administrative Code Chapter 78. Acting as an athlete agent in
Texas requires registration with the secretary of state. Sections 2051.102–2051.104, Occupations Code
and 78.1, Administrative Code, set forth the application requirements for athlete agent registration.
Pursuant to sections 2051.151, Occupations Code and 78.31, Administrative Code, an application for
registration (Form 2501-E) must be accompanied by either a $100,000 surety bond or an affidavit
stating that the applicant has not entered into a financial services contract or provided financial services
for an athlete. This form may be used for the surety bond.
Submit either Form 2502-I (financial services affidavit) or Form 2503 (this form), but not both.
Instructions for Form
Principal/Athlete Agent/Applicant: Provide the name and address of the athlete
agent/applicant filing the surety bond.
A document on file with the secretary of state is a public record subject to public access and
disclosure. When providing address information, use a business or post office box address
rather than a residence address if privacy concerns are an issue.
Bond: Provide the number used by the surety company to identify the bond.
Surety: Provide the name of the surety company. The surety company must be authorized to do
business as a surety company in Texas.
Revised 03/11
Form 2503
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Form #2503
Rev. 03/2011
This space reserved for office use
Submit with Application (Form 2501-E)
to:
SECRETARY OF STATE
Statutory Documents Section
P O Box 13550
Austin, TX 78711-3550
512-463-5705
512-475-2815 - Fax
Filing Fee: None.
PRINCIPAL/
ATHLETE AGENT/
APPLICANT
Name:
BOND
Number:
SURETY
ATHLETE AGENT
SURETY BOND
Name:
Street
City
State
Zip
Amount : One hundred thousand dollars ($100,000.00)
We, PRINCIPAL AND SURETY identified above, our heirs, executors, successors and assigns, jointly and severally, are
liable to the State of Texas, for the amount of the bond shown, in favor of the state for the benefit of a person damaged by
PRINCIPAL’s violation of Chapter 2051, Occupations Code. SURETY acknowledges that it is duly authorized and qualified to
do business as a surety company in Texas.
This agreement is subject to the following terms and conditions:
The bond shall be maintained for not less than two years after the date that PRINCIPAL ceases to provide financial services to
an athlete.
This bond shall serve as the security required by § 2051.151, Occupations Code, so that PRINCIPAL may enter into a financial
services contract with an athlete.
As a condition of SURETY’s obligation, PRINCIPAL shall (1) faithfully discharge all obligations, duties and responsibilities
under Chapter 2051, Occupations Code, as that statute is presently worded, and as it may hereafter be amended to read; (2) pay
money owed to an individual or group of individuals when PRINCIPAL or PRINCIPAL’s representative or agent receives the
money; and (3) pay damages to an athlete caused by the intentional misrepresentation, fraud, deceit, or unlawful or negligent act or
omission of the PRINCIPAL or the PRINCIPAL’S representative or employee while acting within the scope of the financial
services contract. Any party injured by PRINCIPAL’s failure to meet the conditions of the bond may bring an action based on the
bond and recover against the bond.
The aggregate liability of SURETY for all breaches of bond conditions may not exceed the amount of the bond.
Regardless of the number of years the bond continues in force or the number of premiums paid or payable, the limit of SURETY’s
liability stated in the bond shall not be cumulative from year to year or period to period.
The bond shall not be subject to cancellation by either PRINCIPAL or SURETY unless written notice of intent to cancel is
forwarded to the Secretary of State, Statutory Documents Section, not later than the 60th day before the date of cancellation.
If the cancellation is at the request of SURETY, SURETY shall also provide PRINCIPAL with written notification at least
60 days prior to the effective date of cancellation.
It is agreed that the bond shall be in full force and effect as of the following date:
Date:
Signature of authorized person for PRINCIPAL
Printed or typed name of authorized person for PRINCIPAL
Date:
Signature of authorized person for SURETY
Printed or typed name of authorized person for SURETY
Form 2503
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Form 2504—General Information
(Statement of Individual Agents)
The attached form is designed to meet minimal statutory filing requirements pursuant to the relevant code
provisions. This form and the information provided are not substitutes for the advice and services of an
attorney.
Commentary
Athlete agents are governed by Chapter 2051 of the Texas Occupations Code and the secretary of state’s
administrative rules found in 1 Texas Administrative Code Chapter 78. Acting as an athlete agent in
Texas requires registration with the secretary of state. Sections 2051.102–2051.104, Occupations Code
and 78.1, Administrative Code, set forth the application requirements for athlete agent registration.
Pursuant to sections 2051.104, Occupations Code and 78.1, Administrative Code, an application for
registration (Form 2501-E) must be accompanied by a list of the name and address of each individual
who recruits or solicits an athlete to enter into an agent contract, a financial services contract, or a
professional sports services contract with the applicant. This form may be used for the list and should
be attached to the application for registration or renewal.
An athlete agent must notify the secretary of state within 30 days of any change to the individuals
identified in this list by submitting a statement showing the change. This form may also be used to
submit an updated list.
Instructions for Form
A document on file with the secretary of state is a public record subject to public access and
disclosure. When providing address information, use a business or post office box address
rather than a residence address if privacy concerns are an issue.
Revised 03/11
Form 2504
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Form #2504
Rev. 03/2011
Submit with Form 2501-E.
For update, submit to:
SECRETARY OF STATE
Statutory Documents Section
P O Box 13550
Austin, TX 78711-3550
512-463-5705
512-475-2815 – Fax
Filing Fee: None.
This space reserved for office use
STATEMENT OF INDIVIDUAL
AGENTS
Athlete Agent/Applicant:
Identify each individual who recruits or solicits an athlete to enter into an agent contract, professional sports contracts, or
financial services contract with the above-named athlete agent or applicant.
Name:
Address:
Street
City
State
Zip
Street
City
State
Zip
Street
City
State
Zip
Street
City
State
Zip
Street
City
State
Zip
Street
City
State
Zip
Street
City
State
Zip
Street
City
State
Zip
Street
City
State
Zip
Name:
Address:
Name:
Address:
Name:
Address:
Name:
Address:
Name:
Address:
Name:
Address:
Name:
Address:
Name:
Address:
USE AN ADDITIONAL SHEET IF NECESSARY
Form 2504
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Form 2506-E—General Information
(Supplement to Entity Athlete Agent Application/Renewal for Owner or Managerial Official)
The attached form is designed to meet minimal statutory filing requirements pursuant to the relevant code
provisions. This form and the information provided are not substitutes for the advice and services of an
attorney.
Commentary
Athlete agents are governed by Chapter 2051 of the Texas Occupations Code and the secretary of state’s
administrative rules found in 1 Texas Administrative Code Chapter 78. Acting as an athlete agent in
Texas requires registration with the secretary of state. Sections 2051.102–2051.104, Occupations Code
and 78.1, Administrative Code, set forth the application requirements for athlete agent registration.
An application for registration must provide information regarding the moral character of parties who
are financially interested in the applicant’s athlete agent business, including persons with an ownership
interest in, or right to receive profits from, the entity.
Complete application information must also be provided for each officer, associate, or partner, of an
entity applicant, that is, for persons who are managerial officials of the entity. “Managerial officials”
include officers, as well as governing persons, as that term is defined by § 1.002(35) and (37) of the
Texas Business Organizations Code.
This form is required to be submitted with an application or renewal.
Instructions for Form
A document on file with the secretary of state is a public record subject to public access and
disclosure. When providing address or telephone information, use a business or post office
box address rather than a residence address if privacy concerns are an issue.
Revised 03/11
Form 2506-E
1
American LegalNet, Inc.
www.FormsWorkFlow.com
Form #2506-E
Rev. 03/2011
This space reserved for office use
Submit with Application (Form 2501-E)
to:
SECRETARY OF STATE
Statutory Documents Section
P O Box 13550
Austin, TX 78711-3550
512-463-5705
512-475-2815 - Fax
Filing Fee: None.
SUPPLEMENT TO ENTITY
ATHLETE AGENT
APPLICATION/RENEWAL FOR
OWNER OR MANAGERIAL
OFFICIAL
Athlete Agent Applicant:
Complete a separate form for each person identified as a financially interested party or managerial official on the
application or renewal for the above-named applicant. Submit the completed supplements with the application or renewal.
1. Name:
2. Principal
Business Address: Street
City
State
Zip
Fitness
Select the appropriate box to indicate whether the person named above has been subject to any of the following:
3. A finding of guilt for a crime (other than a class C misdemeanor).
Yes
No
4. An administrative or judicial finding that the person made a false, misleading,
deceptive, or fraudulent representation.
Yes
No
5. A sanction (including a fine) or suspension related to occupational or professional
conduct.
Yes
No
6. A denial of an application for a certificate of registration or license as an athlete
agent.
Yes
No
7. A denial, revocation, or suspension of a certificate of registration or license as an
athlete agent.
Yes
No
8. Engaged in conduct resulting in the imposition in an athlete or educational institution
of a sanction, suspension, or declaration of ineligibility to participate in an
interscholastic or intercollegiate athletic event.
Yes
No
If you answered “yes” to any of the above, in the space below you must provide a statement of (i) the
nature, circumstances, date, and location, and (ii) whether the matter is on appeal. Also attach copies
of court order and sentence, and papers pertaining to release from probation, if applicable.
USE AN ADDITIONAL SHEET IF NECESSARY.
IF YOU ARE COMPLETING THIS FORM FOR A FINANCIALLY INTERESTED PARTY, STOP
HERE. IF YOU ARE COMPLETING THE FORM FOR A MANAGERIAL OFFICIAL, CONTINUE
TO THE NEXT PAGE.
Form 2506-E
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COMPLETE THE REST OF THE SUPPLEMENT ONLY IF YOU ARE COMPLETING THIS FORM
FOR A MANAGERIAL OFFICIAL.
Background & Experience
9. Business or occupation for the last five years:
10. Formal training, practical experience, and education related to professional activities as an athlete
agent:
11. Name, sport, and last known team for each person the applicant represented as an athlete agent
during the last five years:
Name
Sport
Team
Name
Sport
Team
Name
Sport
Team
Name
Sport
Team
Name
Sport
Team
Name
Sport
Team
Name
Sport
Team
USE AN ADDITIONAL SHEET IF NECESSARY
References
Provide the name and address of three professional references.
Name:
Phone:
Address:
Street
City
Name:
State
Zip
State
Zip
State
Zip
Phone:
Address:
Street
City
Name:
Phone:
Address:
Street
Form 2506-E
City
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Form #2507-E
Rev. 03/2011
This space reserved for office use
Submit with Application (Form 2501-E)
to:
SECRETARY OF STATE
Statutory Documents Section
P O Box 13550
Austin, TX 78711-3550
512-463-5705
ATHLETE AGENT APPLICANT
512-475-2815 - Fax
CONTACT SHEET
The information on this page is used for contacting applicants during the application review process
and for background checks. This page will not be retained in the secretary of state’s records and will
be destroyed once the application with which it is submitted has been approved or denied.
Name of corporation, LLC,
partnership, or other legal entity:
Principal Business
Address:
Street
City
State
Zip
Jurisdiction of
Formation:
Contact Person:
Phone:
Form 2507-E
Email:
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